How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $630.96 Median $630.96 Typical High $6,456.54 | Facility | None | $630.96 | $630.96 | $6,456.54 |
Aetna Setting Professional Modifier None Typical Low $630.96 Median $630.96 Typical High $660.69 | Professional | None | $630.96 | $630.96 | $660.69 |
BCBS North Dakota Setting Professional Modifier None Typical Low $933.25 Median $1,202.26 Typical High $1,445.44 | Professional | None | $933.25 | $1,202.26 | $1,445.44 |
BCBS North Dakota Setting Professional Modifier 54 · Surgery only Typical Low $660.69 Median $851.14 Typical High $1,000.00 | Professional | 54 · Surgery only | $660.69 | $851.14 | $1,000.00 |
BCBS North Dakota Setting Professional Modifier 56 · Pre-op care only Typical Low $93.33 Median $120.23 Typical High $144.54 | Professional | 56 · Pre-op care only | $93.33 | $120.23 | $144.54 |
BCBS North Dakota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $707.95 Median $912.01 Typical High $1,071.52 | Professional | 78 · Unplanned return to OR | $707.95 | $912.01 | $1,071.52 |
Cigna Setting Facility Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,258.93 | Facility | None | $1,071.52 | $1,071.52 | $1,258.93 |
Cigna Setting Professional Modifier None Typical Low $616.60 Median $1,348.96 Typical High $1,698.24 | Professional | None | $616.60 | $1,348.96 | $1,698.24 |
Medica Setting Facility Modifier None Typical Low $446.68 Median $630.96 Typical High $1,548.82 | Facility | None | $446.68 | $630.96 | $1,548.82 |
Medica Setting Professional Modifier None Typical Low $645.65 Median $1,148.15 Typical High $1,479.11 | Professional | None | $645.65 | $1,148.15 | $1,479.11 |
United Setting Facility Modifier None Typical Low $446.68 Median $616.60 Typical High $758.58 | Facility | None | $446.68 | $616.60 | $758.58 |
United Setting Professional Modifier None Typical Low $588.84 Median $1,122.02 Typical High $1,258.93 | Professional | None | $588.84 | $1,122.02 | $1,258.93 |
2 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $1,122.02 Median $1,445.44 Typical High $1,737.80 | Professional | 22 · Increased work | $1,122.02 | $1,445.44 | $1,737.80 |
BCBS North Dakota Setting Professional Modifier 50 · Both sides Typical Low $1,412.54 Median $1,819.70 Typical High $2,137.96 | Professional | 50 · Both sides | $1,412.54 | $1,819.70 | $2,137.96 |
Where North Dakota sits
The same service costs 7.6 times more in Alaska than in Utah. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
North Dakota· 10th of 51
$1,096
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.